Office of Certification and Accreditation

Program Verification Form Request

If you are applying for teacher or administrator certification in Delaware, you do not need a Program Verification Form. You can proceed directly to the application site here.

If you are applying for teacher or administrator certification outside of Delaware and you completed UD teacher/educator preparation program, you can request a Program Verification Form by filling out the form below. Forms may take between 7-10 days but we do our best to get them to you more quickly.

The UD Teacher Certification Officer will create and complete your form(s). You will be contacted by email once your form is complete and notified of any additional instructions.

Please note: We do not list Social Security Numbers on any forms and you may have to fill this in after you receive your form.

Questions?

If you have questions, please email ceetp-cert@udel.edu.

Certification - Program Verification Form Request

Please fill out as much as the information as applicable.

Your Name*
First Last
Your name as you want it to appear on your Program Verification form if different from above
First Middle Last
Previous name(s) if applicable
Date of Birth*
UD ID number*
Email*
Enter Email Confirm Email
Phone
Current Status*
- Alumni (Any level)
- Candidate (Currently enrolled and graduating this year)
- Candidate/Alumni (Currently enrolled 4+1 or graduate student who completed another program at UD)
- ARTC Program Completer
- My status is not listed here. (Please answer next question)
Select all that apply
If your status is not listed above, please explain:
Graduation month and year (or expected graduation date)*
Program, Majors, and/or Concentration(s)*
Your address that you want listed on your Program Verification Form (Note: Unless you request otherwise, the form will be sent to this address, if applicable.) **Please note that during the busy May-July season, your form may arrive with no address listed and you will need to write it in.)
Street Address Address Line 2 City State ZIP Code
Please list the states to which you intend to apply for certification (or other special instructions).*
Please confirm that you hold a current certification (in any state) OR have taken all required tests for the state or states listed above. If you have not taken the required tests OR do not hold current certification, your request will not be processed.*
Please list all tests taken and passed for certification in the state or states listed above. Your request will NOT BE PROCESSED if you do not complete this form.
I currently hold a valid certification in the following state or states.
Typically your forms are addressed and mailed to you. If you need your form sent directly to another person or department, please list all of that information here, including Name, Email, Mailing Address, etc. If you want to receive this form at a mailing address different from the one listed above, you can include that information here. **Please note, if your form requires a SSN, it MUST be sent to you so that you can write your SSN in before submission.
Any other comments or information we need to process this form?
I understand that I am requesting for information from my academic record to be released for the purpose of verifying my status in my teacher/educator preparation program. I attest that I am requesting my own record and all the information listed above is accurate to the best of my knowledge. I confirm this by typing my name into the box below. (If you are a third party, please contact the teacher-candidate and have them fill out this request form.) **Please note that if your form requires an SSN, it will be sent back to you-- so you can fill it in before sending it to the intended DOE.*